L4

Question 1

Bubble around assessment

Answer 1

exam, problems, diagnosis, risk– prognosis – solutions based on those

Question 2

what makes up stabalization therapy

Answer 2

1. core build ups/ post and cores
2. crown lenghtening
   - perio or prosth reasons
3. special preps and perio treatemnts
   - grafts
   - osseous surgeries
   - root amputations / hemi sections
4. endo
5. implants
6. interim restoratinos

re-evaluation

Question 3

3 situations where could be considered definitive / stand alone and what makes it that way?

Answer 3

1. oral surgery
2. ortho
3. perio therapy - like soft tissue graft

BUT NOT FOR THE PURPOSE OF SUPPROTING RESTORATIONS or achieving / restoring health

Question 4

core build up rationale

Answer 4

1. replace missing tooth structure
2. post retains the core
3. core adds resistance form to the prepared tooth
4. composite depends on bonding to ?? (enamel)

amalgam depends on RETENTION so there has to be some after the tooth is prepared

Question 5

when using composite or amalgam for core build ups – they depend on?

Answer 5

composite depends on bonding to ?? (enamel)

amalgam depends on RETENTION so there has to be some after the tooth is prepared

Question 6

make or break of endo treated teeth

Answer 6

Ferrule

Question 7

two main reasons for crown lengthening

Answer 7

1. prosthetic reasons
   - do not have enough tooth structure
2. periodontal
   - biologic width reasons

Question 8

prosthetic reaons for crown lengthen

Answer 8

short clinical crowns

compromised retention

prognosis improved

affects retention

ease of maintenance

impression ease

Question 9

waht comes first the crown prep or the CLP?

Answer 9

Crown prep has to preced the clp so that adequate bone can be removed to re-establish biologic width and ferrule

Question 10

gingival recession

Answer 10

exposure of the tooth root due to loss of keratinized tissue around the neck of a tooth

Question 11

free gingival graft

Answer 11

taking small layer of tissue from the PALATE and suturing it over to the site of gum recession

INCREASE KERATINIZED TISSUE

Question 12

better than a free gingival graft?

Answer 12

subepithelial connective tissue graft – more predictable coverage for root coverage and more esthetic outcome — tkae tissue from under healthy gum rissue in the palate

Question 13

what stage in millers gingival recession classification do you lose the papilla?

Answer 13

past stage II (so not stage II but stage III)

Question 14

miller classification of recession

Answer 14

i – recession that has NOT extended to the MGJ – no bone loss

ii– recession to or beyond MGJ – NO bone loss

iii — recession to or beyond MGJ BONE LOSS AND PAPILLA RECESSION

iv — recession beyond the MGJ and bone los to the base of recession defect

Question 15

describe root amputation

Answer 15

can preserve periodontally failing

allows the motivated patient to clean and area that otherwise would be maintainable

Question 16

non-odontgenic pain

Answer 16

rule out TMJ, occluion, oral sores, perio causes

Question 17

reversible pulpitits symptoms

Answer 17

sensitivity to hot, cold and sweets

does NOT linger

localized to a tooth

Question 18

irreversible pulpitis symptoms

Answer 18

sensitive to thermal stimuli

lasts after stimuli is removed

can be spontaneous and difficult to localize

Question 19

necrotic / non-vital symptoms

Answer 19

thermal, electrical pulp tes and finally cavity

occurs corono-apically – may be vital tissue in parts of the root system

Question 20

abscessed symptoms

Answer 20

swollen periapical tissue – yields a tooth that is high and sensitivity to percussion

Question 21

what encompasses oral surgery procedures in tx plans usually

Answer 21

1. removal of hopeless teeth
2. promote heling to allow for definitive care
3. correction of intra oral anomolies - tuberositites, flabby ridges
4. augmentation of the jaw to support restorations

Question 22

stabalization ortho procedures?

Answer 22

for implants

interim restorations

to correct tooth position and regain guidance

Question 23

stabalization / support therapy for interum restorations?

Answer 23

1. transitional dentures
2. transitional partial dentures
3. restorations

Question 24

transitional dentures = immediate?

Answer 24

NO –

Question 25

when are composites or amalgams not definitive

Answer 25

when used as interim restortions and a crown is the better long term – definitive tx plan

Question 26

definition of caries control

Answer 26

removal of decay in the teeth for the purpose of stopping the progression of a contagious event

allow treatment to proceed in other area until such a time has passed to allow defintiive therapy to be performed in a predictable fashion to the affected teeth

Question 27

IRM =

Answer 27

intermediate restorative material

Question 28

ZOE -IRM?

Answer 28

zinc oxide eugonal - IRM

Question 29

contraindications for ZOE-IRM?

Answer 29

demonstrates high interfacial LEAKAGE so contraindicated in direct pulp cap / use with resin components

Question 30

glass ionomer description

Answer 30

provides an excellent bacterial seal and shown good bio-compatibility when used in close approximation BUT NOT IN DIRECT CONTACT WITH THE PULP

Question 31

KEY TO PULP SURVIVIAL AFTER CAPPING?

Answer 31

well sealed restoration